NPI | 1134580319 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT127698) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF97044) |
Enumeration Date | 2016-03-15 |
Last Update Date | 2021-08-31 |